| Desert Behavioral Health | |
|
15982 Quantico Rd Ste E Apple Valley CA 92307-1382 | |
| (760) 946-2070 | |
| (760) 946-1511 |
| Full Name | Desert Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15982 Quantico Rd Ste E, Apple Valley, California |
| Authorized Official Name and Position | Naomi Vivian Fate (PRESIDENT) |
| Authorized Official Contact | 7609462070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Behavioral Health 15982 Quantico Rd Ste E Apple Valley CA 92307-1382 Ph: (760) 946-2070 | Desert Behavioral Health 15982 Quantico Rd Ste E Apple Valley CA 92307-1382 Ph: (760) 946-2070 |
| NPI Number | 1891700241 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Medicare PECOS PAC ID | 2264600204 |
|---|---|
| Medicare Enrollment ID | O20110719000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891700241 | NPI | - | NPPES |
| Provider Name | Dale Anne Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477714095 PECOS PAC ID: 5395882088 Enrollment ID: I20091029000211 |
| Provider Name | Don W Kreger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609975515 PECOS PAC ID: 8123296944 Enrollment ID: I20110722000086 |
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